EZ BUSINESS LOAN APPLICATION

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1 For Bank Purposes Only: Relationship Manager: Date Application Taken: Direct Mail Ref by Existing Cust Walk-in Other: Advertising Special Program EZ BUSINESS LOAN APPLICATION For commercial loan requests up to $100,000 where total commercial borrowing does not exceed $250,000. For loan requests over $50,000 please attach most recent business financial statements or tax returns. LOAN REQUEST: EZ Credit Line EZ Term Loan EZ Cash Reserve Requested Amount: $ Requested Term: (if term loan) Purpose of loan funds: Collateral: Please select the collateral from the list below. FOR LOANS over $50,000, YOUR APPLICATION WILL NOT BE PROCESSED WITHOUT A COMPLETED SCHEDULE OF COLLATERAL ATTACHED. All business assets (Current value of: Accounts Receivable $ Inventory $ Fixed Assets $ ) Specific collateral (Please describe. Include make, model, and VIN# for vehicles, serial #s for equipment.) Estimated value $ Existing Liens $ Is collateral being pledged owned by someone other than the business or the owners of the business? Unsecured Automatically deduct loan payments from Enterprise Bank & Trust Co. checking account # BUSINESS PROFILE: Legal Business Name: Tax ID# Business Type: Sole Prop. Partnership S Corp. C Corp. LLC LLP Trust Business Address: Non-Profit? Yes No Business Telephone: Fax: Business Activity/Industry: Year Established: Current Mgmt Since: Annual Revenue: $ Last Fiscal Year Net Profit or (Loss) $ # of Employees Has the business incurred a loss in any of the last 3 years? Has the business ever filed bankruptcy? Are there any delinquent state or federal taxes owed by the business? Is the business for sale or under agreement that would change the ownership of the business? BUSINESS AND CREDIT REFERENCES: Bank (checking/savings) Account # Average checking balance $ Current Business Debt: Lender Loan Purpose Original Amount Monthly Payment Current Balance Maturity Date PLEASE BE SURE TO COMPLETE PAGE 2 OF THIS APPLICATION Application Form Page 1 of 2

2 OWNER(S)/GUARANTOR(S) PROFILE: Guarantor #1 EZ BUSINESS LOAN APPLICATION Name: Title: Ownership: % DOB: Address: Social Security# Telephone: Monthly Salary: $ Monthly Rent/Mortgage:$ Other Monthly Income *: $ Other Monthly Loan Pymts $ Have you declared bankruptcy at any time during the last 10 years: Yes No Equity in Home $ Assets Liabilities Cash and marketable securities $ Installment Loans Payable $ Real estate residence $ Mortgage Balance $ Other real estate $ Home Equity Loan/Line $ Value of business $ Other Liabilities $ Vehicles $ Total Liabilities $ Other Assets $ Total Assets $ Guarantor #2 Name: Title: Ownership: % DOB: Address: Social Security# Telephone: Monthly Salary: $ Monthly Rent/Mortgage:$ Other Monthly Income *: $ Other Monthly Loan Pymts $ Have you declared bankruptcy at any time during the last 10 years: Yes No Equity in Home $ Assets Liabilities Cash and marketable securities $ Installment Loans Payable $ Real estate residence $ Mortgage Balance $ Other real estate $ Home Equity Loan/Line $ Value of business $ Other Liabilities $ Vehicles $ Total Liabilities $ Other Assets $ Total Assets $ *Alimony, child support or separate maintenance income need not be revealed if the guarantor does not choose to have it considered for repayment of this loan. IF ADDITIONAL GUARANTORS, PLEASE ATTACH SEPARATE FINANCIAL INFORMATION FOR EACH AUTHORIZED SIGNATURES: IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT. To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver s license or other identifying documents. The undersigned/applicant(s) certifies that he/she has full authority to act on behalf of the business entity and that the information on this application and/or on any accompanying statements is true, complete and correct. The applicant(s) affirms that the proceeds of the loan applied for will be used for business purposes and not for personal, family or household purposes. The undersigned agree(s) to notify Enterprise Bank of any material changes in the information shown on this application and/or on any accompanying statements. The applicant(s) authorizes the Bank and its agents to verify any information provided on the application, to obtain credit reports, including consumer credit reports, in connection with the application and agrees that the bank may do so for updates, renewals, extensions and collection activity. The undersigned authorizes any person or consumer-reporting agency to give the Bank any information it may have on the undersigned. The applicant(s) understands that the application will be the Bank s property whether or not credit is granted. The undersigned understands that the making of false statements or material omissions intended to conceal pertinent facts by the applicant(s) may be a financial crime requiring the Bank to notify the appropriate law enforcement authorities. Approved loans will be subject to a $100 document preparation fee. Business Name: Signature: Title: Date: Signature: Title: Date: Application Form Page 2 of 2

3 SCHEDULE OF COLLATERAL If your loan amount is $50,000 or more, this form must be fully completed and submitted with your EZ Business Loan Application. Borrower Name: Business Address: Business Phone #: Please list all business collateral to be used as security for this loan. Equipment, Accounts, Inventory, Vehicles or other Assets of the Business (with an Original Value of $5,000 or more). Use an asterisk [*] to identify collateral to be purchased with loan proceeds. For any vehicle(s), please provide a copy of the title(s). Description (List manufacturer, model, and serial # or VIN #) Owner, if not Borrower Original Cost & Year Acquired Market Value Current Lien Balance Name of Lienholder(s) Specific Description of any Collateral worth under 5,000: Location of Collateral: If Location is Leased: Please provide contact info for Landlord and Date of Lease Landlord Name Address Phone Date of Lease Signed under the pains and penalties of perjury on this day of, 20. Signature: Title: Signature: Title:

4 EZ BUSINESS APPLICATION CHECKLIST (Borrower Copy) Signed and Dated Application If loan is over $50,000: o o o Business tax returns or Business financial statements Signed, Dated and Completed Schedule of Collateral If specific collateral is given, make sure Serial # and/or VIN # are listed on Schedule of Collateral Automobile or Vehicle Collateral o If Borrower owns vehicle, Provide Original Title o If loan proceeds will be used to Purchase from a Dealership: provide vehicle invoice and Copy of Title o If loan proceeds will be used to Purchase in a Private Sale: Provide Bill of Sale and a Copy of the Original Title o If there is an Existing Lienholder, need a copy of most recent payment notice with Lienholder s name, address, and phone number and a payoff figure If Borrower is a Trust: o Copy of the Trust, along with any Amendments and Certificate(s) o Schedule of Beneficiaries Will be required at Closing. Please obtain ahead of time: Insurance Binder covering all Collateral

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